East Bay Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME85329 Issued in FL

Legal business name

EAST BAY FAMILY PRACTICE LLC

Practice address

3387 3391 Easy Bay Drive
Largo, FL 33771

Phone

(727) 412-8209

Fax

(727) 412-8207

NPI assigned

Oct 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rohit Kumar Suri, MD

Title

President

Phone

(727) 412-8209

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1063665867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3387 3391 EASY BAY DRIVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33771",
            "telephone_number": "727-412-8209",
            "fax_number": "727-412-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 3391 EASY BAY DRIVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33771",
            "telephone_number": "727-412-8209",
            "fax_number": "727-412-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-412-8209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Largo, FL
• Providers in Largo, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.